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Reducing cannabinoid abuse and preventing relapse by enhancing endogenous brain levels of kynurenic acid.

Abstract
In the reward circuitry of the brain, α-7-nicotinic acetylcholine receptors (α7nAChRs) modulate effects of Δ(9)-tetrahydrocannabinol (THC), marijuana's main psychoactive ingredient. Kynurenic acid (KYNA) is an endogenous negative allosteric modulator of α7nAChRs. Here we report that the kynurenine 3-monooxygenase (KMO) inhibitor Ro 61-8048 increases brain KYNA levels and attenuates cannabinoid-induced increases in extracellular dopamine in reward-related brain areas. In the self-administration model of drug abuse, Ro 61-8048 reduced the rewarding effects of THC and the synthetic cannabinoid WIN 55,212-2 in squirrel monkeys and rats, respectively, and it also prevented relapse to drug-seeking induced by reexposure to cannabinoids or cannabinoid-associated cues. The effects of enhancing endogenous KYNA levels with Ro 61-8048 were prevented by positive allosteric modulators of α7nAChRs. Despite a clear need, there are no medications approved for treatment of marijuana dependence. Modulation of KYNA offers a pharmacological strategy for achieving abstinence from marijuana and preventing relapse.
AuthorsZuzana Justinova, Paola Mascia, Hui-Qiu Wu, Maria E Secci, Godfrey H Redhi, Leigh V Panlilio, Maria Scherma, Chanel Barnes, Alexandra Parashos, Tamara Zara, Walter Fratta, Marcello Solinas, Marco Pistis, Jack Bergman, Brian D Kangas, Sergi Ferré, Gianluigi Tanda, Robert Schwarcz, Steven R Goldberg
JournalNature neuroscience (Nat Neurosci) Vol. 16 Issue 11 Pg. 1652-61 (Nov 2013) ISSN: 1546-1726 [Electronic] United States
PMID24121737 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Analgesics
  • Benzoxazines
  • Cannabinoid Receptor Agonists
  • Morpholines
  • Naphthalenes
  • Ro 61-8048
  • Sulfonamides
  • Thiazoles
  • (3R)-((2,3-dihydro-5-methyl-3-((4-morpholinyl)methyl)pyrrolo-(1,2,3-de)-1,4-benzoxazin-6-yl)(1-naphthalenyl))methanone
  • Dronabinol
  • Kynurenic Acid
Topics
  • Analgesics (administration & dosage)
  • Animals
  • Benzoxazines (administration & dosage)
  • Brain (metabolism)
  • Cannabinoid Receptor Agonists (pharmacology)
  • Conditioning, Operant (drug effects)
  • Cues
  • Discrimination, Psychological (drug effects)
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Dronabinol (pharmacology)
  • Drug-Seeking Behavior (drug effects)
  • Kynurenic Acid (metabolism)
  • Male
  • Memory, Short-Term (drug effects)
  • Morpholines (administration & dosage)
  • Naphthalenes (administration & dosage)
  • Rats
  • Rats, Long-Evans
  • Rats, Sprague-Dawley
  • Reinforcement, Psychology
  • Saimiri
  • Secondary Prevention
  • Self Administration
  • Substance-Related Disorders (drug therapy, metabolism, pathology)
  • Sulfonamides (pharmacology)
  • Thiazoles (pharmacology)
  • Time Factors
  • Wakefulness

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